Individual provider Active NPI

Lon Allen Sproles, D.O.

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1295078558
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO3786 Issued in NV
Practice address
175 W 12TH St Apt 4D
New York, NY 10011-8208
Phone
(214) 938-7088
NPI assigned
Apr 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 2850541 NY
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 25MB09944900 NJ
Emergency Medicine Physician 207P00000X 325880 LA
Emergency Medicine Physician 207P00000X DO3786 NV Primary

Addresses

Primary practice location

175 W 12TH St Apt 4D
New York, NY 10011-8208

Mailing address

3 Century Drive
Parsippany, NJ 07054
Phone (214) 938-7088

Other identifiers 1

IdentifierTypeStateIssuer
04494771MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210830001442 LA Practitioner - Emergency Medicine 5193010643 Reassigns benefits to 6 organizations
I20241127000999 NV Practitioner - Emergency Medicine 5193010643 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Oaks Emergency Group, LLCGroup PAC ID 6901214584, 33 clinicians
Shadow Emergency Physicians PLLCGroup PAC ID 2860667375, 105 clinicians

Practice addresses (Care Compare)

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122

620 Shadow LN
Las Vegas, NV 89106-4119
Phone (954) 939-5000

Hospital & facility affiliations

  • West Henderson Hospital Hospital, Henderson, NV, CCN 290062
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO3786NVMDEmergency Medicine Physician
2850541NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shadow Emergency Physicians PLLC Emergency Medicine CurrentSince Nov 20, 2024 Accepting new patients
Nes Louisiana Inc Single Specialty CurrentSince Feb 7, 2024 Accepting new patients
Derussy Emergency Group, LLC Single Specialty CurrentSince Jul 10, 2024 Accepting new patients
Shadow Emergency Physicians PLLC Single Specialty CurrentSince Nov 20, 2024 Accepting new patients
Nes Louisiana Inc Emergency Medicine CurrentSince Feb 7, 2024 Accepting new patients
Fremont Emergency Services Scherr LTD Single Specialty CurrentSince May 1, 2025 Accepting new patients
Fremont Emergency Services Scherr LTD Single Specialty CurrentSince May 1, 2025 Accepting new patients
Leatherwood Emergency Group, LLC Single Specialty CurrentSince May 13, 2024 Accepting new patients
Edwards MD PC Single Specialty CurrentSince Dec 29, 2024 Accepting new patients
Acs Primary Care Physicians Louisiana PC Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
River Oaks Emergency Group, LLC Single Specialty CurrentSince Aug 29, 2021 Accepting new patients
Ess of Ferriday, LLC Single Specialty CurrentSince Jun 10, 2023 Accepting new patients
Ky-I Medical Services, P.S.C. Past Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

4231 Highway 1192
Marksville, LA 71351
Phone (318) 240-6000

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084

6569 Highway 84
Ridgecrest, LA 71334
Phone 3187576551605

1155 Raiders Way
Henderson, NV 89052
Phone (702) 369-7671

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9002

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

9075 Blue Diamond Rd
Las Vegas, NV 89178
Phone (702) 916-5000

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1295078558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CENTURY DRIVE",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "214-938-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W 12TH ST APT 4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118208",
            "telephone_number": "214-938-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROLES",
        "first_name": "LON",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "2850541",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB09944900",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "325880",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "DO3786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04494771",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.